36D1041938 CLIA NUMBER - LORAIN SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 36D1041938
  • Facility Name: LORAIN SURGERY CENTER LLC
  • Facility Address: 4804 LEAVITT ROAD
    LORAIN, OH
    ZIP 44053
  • Facility Phone: 440 245-0016
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: OSAMA A. MALAK
  • NPI Number: 1649250218
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1041938
LAB Type Ambulatory Surgery Center
Facility Name LORAIN SURGERY CENTER LLC
Street 4804 LEAVITT ROAD
City LORAIN
State OH
ZIP 44053
Phone 440 245-0016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2025
Certificate Expiration Date 6/15/2027
Facility Type Ambulatory Surgery Center
Lab Director OSAMA A. MALAK

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This page was last updated on: 9/29/2025